<!--
Author: Quan Van Sinh
Email : sinhvnb@vietnambiz.com
Mobile: 0972405165
-->
<div class="container_l">
    <div class="title_user"><img src="images/icon1.gif" />Add new acount</div>
    <div class="table_user">
        <div class="table_user_in2">
            <fieldset>
                <legend accesskey="N">Personal Infomation</legend>
                <div class="lineaddnew">
                    <div class="lineform">
                        <div class="divlabel">Full name:</div>
                        <div class="divform"><input type="text" name="fullname" value="" /></div>
                    </div>
                    <div class="lineform">
                        <div class="divlabel">Username: <font color="#FF0000">*</font></div>
                        <div class="divform"><input type="text" name="fullname" value="" /></div>
                    </div>
                    <div class="lineform">
                        <div class="divlabel">Email: <font color="#FF0000">*</font></div>
                        <div class="divform"><input type="text" name="fullname" value="" /></div>
                    </div>
                    <div class="lineform">
                        <div class="divlabel">Password: <font color="#FF0000">*</font></div>
                        <div class="divform"><input type="text" name="fullname" value="" /></div>
                    </div>
                    <div class="lineform">
                        <div class="divlabel">Confirm Password: <font color="#FF0000">*</font></div>
                        <div class="divform"><input type="text" name="fullname" value="" /></div>
                    </div>
                    <div class="spacer1"><span></span></div>
                </div>
                <div class="spacer1"><span></span></div>
            </fieldset>


            <fieldset>
                <legend accesskey="N">Address</legend>
                <div class="lineaddnew">
                    <div class="lineform">
                        <div class="divlabel">Street address :</div>
                        <div class="divform"><input type="text" name="fullname" value="" /></div>
                    </div>
                    <div class="lineform">
                        <div class="divlabel">City: <font color="#FF0000">*</font></div>
                        <div class="divform"><input type="text" name="fullname" value="" /></div>
                    </div>
                    <div class="lineform">
                        <div class="divlabel">Country : <font color="#FF0000">*</font></div>
                        <div class="divform"><input type="text" name="fullname" value="" /></div>
                    </div>
                    <div class="lineform">
                        <div class="divlabel">State/Province: <font color="#FF0000">*</font></div>
                        <div class="divform"><input type="text" name="fullname" value="" /></div>
                    </div>
                    <div class="lineform">
                        <div class="divlabel">Zip/Postal Code: <font color="#FF0000">*</font></div>
                        <div class="divform"><input type="text" name="fullname" value="" /></div>
                    </div>
                    <div class="lineform">
                        <div class="divlabel">Telephone: <font color="#FF0000">*</font></div>
                        <div class="divform"><input type="text" name="fullname" value="" /></div>
                    </div>
                    <div class="spacer1"><span></span></div>
                </div>
            </fieldset>

            <fieldset>
                <legend accesskey="N">Options</legend>
                <div class="lineaddnew">
                    <div class="lineform">
                        <div class="divlabel">Acount Types:</div>
                        <div class="divform">
                            <select>
                                <option value="1">Select types</option>
                                <option value="2">General</option>
                                <option value="3">Affiliate</option>
                            </select>
                        </div>
                    </div>

                    <div class="spacer1"><span></span></div>
                </div>
            </fieldset>

            <div class="linesubmit">
                <input type="button" name="Creat new acount" value="Creat new acount" class="button" />
                <input type="button" name="Reset" value="Reset" class="button" />
            </div>

        </div>
    </div>
    <div class="footer">Copyright © 2009 GTCReal.vn </div>
</div>